Republic of the Philippines

Polytechnic University of the Philippines

Office of the Vice President for Branches and Campuses
Maragondon Branch

EVALUATION INSTRUMENT for HOST TRAINING ESTABLISHMENT

Name of HTE _____________________________________________________________________________

Address _________________________________________________________________________________
__________________________________________________________________________________________
Nature of Business ________________________________________________________________________

Legend:
Descriptive: 5 – Fully Compliant (91-100%) Numerical:
4 – Compliant (66%-90% WEIGHTED MEAN INTERPRETATION
3 – Somewhat Compliant (41%-65%) 4.51 – 5.00 Full Compliant
2 – Not Compliant (11%-40% 3.51– 4.50 Compliant
1 – Fully Not Compliant (0%-10%)
2.51 – 3.50 Somewhat Compliant
1.51 – 2.50 Not Compliant
1.00 – 1.50 Fully Not Compliant

Performance Indicators 5 4 3 2 1 Remarks

A. Provides comprehensive Internship Plan to
student-interns (company profile, objectives,
job description, knowledge, and competencies,
journal/DTR, list of equivalencies, and focal
person)
B. Orients student-interns on the standard rules
and regulations, policies, potential projects,
and respective work assignments in the HTE
C. Commits to let student-interns undergo an
Internship Program consistent with the
requirements of the University: Online Training
(web-based) or be subjected to Work-from-
Home arrangements as delegated by the HTE
and under the policies of the University
D. Ensures that student-interns are rendering the
training hours within the regular working hours
E. Provides free relevant instruction, exposure,
and training to the student-intern, consistent
with its policies, rules, and regulations
F. Treats the student-interns in a professional
manner, and ensures that the student-interns
are not exposed to any form of
harassment/unethical practices or tasks and
work assignments that are unreasonably risky,
dangerous, or unrelated to the purposes of the
Internship Program

G. Observes safety measures for the student-interns

and ensures quality of training
H. Issues Certificate of Completion to the student-
interns not later than two weeks after the
completion of internship
I. Attends appreciation dialogue/exit
conference/culminating activity conducted by the
College/Branch/Satellite Campuses

THE COUNTRY’S 1st POLYTECHNICU

Republic of the Philippines
Polytechnic University of the Philippines
Office of the Vice President for Branches and Campuses
Maragondon Branch

Strength/s:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Area/s Needing Improvement:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Recommendation/s:

Submitted by:

________________________________
[Signature over Full Name of Internship Adviser]

Noted by:

________________________________
[Signature over Full Name of OJT Coordinator]

THE COUNTRY’S 1st POLYTECHNICU